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The American Medical Association (AMA), in 2008, published the total laparoscopic hysterectomy set of codes (TLH). This is the third set of code that addresses to the laparoscopic approach to hysterectomy. Laparoscopy and Robotics have become a popular surgical technology for many surgical procedures – both urological and uro-gynecological. In many instances this technology has replaced open surgery. There are many new CPT® codes used for billing these services. Unfortunately, many of these frequently performed laparoscopic/robotic procedures do not have specific procedural CPT® codes.

This session by expert speaker Michael A. Ferragamo, Jr., MD, FACS, will review the general concepts for coding these services and provide you with specific tools, tips, and the knowledge to properly code and bill and to ensure correct and entitled payments of all laparoscopic/robotic procedures. To help satisfy these objectives, specific coding for various clinical scenarios will be addressed and stressed to help clarify and teach these principles of coding.

Session Highlights:

Use of specific CPT® codes for robotic procedures

How to bill when a robotic code does not exist?

How to bill for a robotic simple nephrectomy?

What constitutes a robotic radical nephrectomy?

How to code for a robotic radical prostatectomy and a simple robotic prostatectomy?

How to code for the robotic performance on an ileal conduit and radical cystoprostatectomy at one encounter?

How to bill for the various robotic lymphadenectomies?

Session Snapshots:

Introduction to Coding for Laparoscopic and Robotic Procedures

Correct Coding for Laparoscopy

Unlisted Laparoscopic Procedures

Laparoscopic Renal Surgery

Laparoscopic Treatment of Upper Tract Tumors

Total Nephroureterectomy

Bilateral Procedure Changes

Laparoscopic Ureteral Surgery

Laparoscopic/Robotic Radical Prostatectomy

Clinical Scenario

Laparoscopic Vasectomy

Laparoscopic Surgery for the Urogynecologist

Urogynecology Coding Update

Laparoscopic Coding Problems

Coding for Robotic Procedures

Who should attend?

Urologists, gynecologists, urogynecologists, pediatric urologists, and general surgeons who perform laparoscopic/robotic procedures and wish to increase their knowledge of the coding and billing of these services. Coders, billers and all office staff involved in authorization, precertification, coding and posting of these procedures may wish to attend and increase their knowledge

Dr. Michael A. Ferragamo, Jr., MD, FACS, is the former chief of urology of Hempstead Medical Center and of Franklin Medical Center of Long Island, New York, and presently is assistant clinical professor of urology, State University of New York, Stony Brook School of Medicine. Michael is a consulting editor for Urology Coding Alert and is a coding consultant for many private practices across the United States as...
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